Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK WARREN ITO, PHD
ActiveJACK WARREN ITO, PHD is a Clinical Psychologist healthcare provider located in 29 PALMS, California. NPI 1710966593 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · 29 PALMS, CA
Registration Details
- NPI Number
- 1710966593
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 11, 2006 (20.41123745603 yrs)
- Last Updated
- Nov 1, 2007
- Licenses
-
PS008530L (PA)PS008530L (PA)
Practice Information
- Address
-
NAVAL HOSPITAL 29 PALMSMCAGCC29 PALMS, CA, 92278Browse CA providers · Browse ZIP 92278
- Phone
- 7608302782
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Psychologist
Other Clinical Psychologist Providers in 29 PALMS, CA
| Name | Credential | NPI |
|---|---|---|
| DR. WILLIAM H BLAU | PHD | 1023168242 |
| DR. LEONARD JOSEPH WESTON | PH D | 1073665113 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.